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Cullman Internal Medicine Pharmacy, LLC

Details

Name: Cullman Internal Medicine Pharmacy, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 06 Aug 2013 (11 years ago)
Entity Number: 000-284-766
Register Number: 000284766
County: Cullman
Place of Formation: Cullman County
Registered Office Street Address: 1890 ALABAMA HIGHWAY 157 SUITE 310CULLMAN, AL 35055
Registered Office Street Address ZIP Code: 35055

Activities RETAIL PHARMACEUTICAL & OTHER COUNTER DRUGS TO THE PUBLIC

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1629401716 2013-08-13 2013-08-13 1890 AL HIGHWAY 157, SUITE 310, CULLMAN, AL, 350583601, US 1890 AL HIGHWAY 157, SUITE 310, CULLMAN, AL, 350583601, US

Contacts

Phone +1 256-737-8000
Fax 2567378058

Authorized person

Name DEBBIE BRUMBELOE
Role ADMINISTRATOR
Phone 2567378008

Taxonomy

Taxonomy Code 3336C0002X - Clinic Pharmacy
State AL
Is Primary Yes

Agent

Name Role Address
PEINHARDT, WILLIAM F Agent 1890 ALABAMA HIGHWAY 157 SUITE 310CULLMAN, AL 35055

Organizer

Name Role Address
PEINHARDT, WILLIAM F Organizer 1890 ALABAMA HIGHWAY 157 SUITE 310CULLMAN, AL 35055
MCCLELLAN, NANCY F Organizer 401 SECOND AVENUE SWCULLMAN, AL 35055

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State